MEDICARE: DR. FRANK FUSCALDO JR. D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	MC004502	NJ
2	111N00000X	Chiropractor	38MC00450200	NJ

General Provider Information

NPI Number	:	1467518126
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANK FUSCALDO JR. D.C.

Provider Business Mailing Address
First Line	:	2603 SECRETARIAT PL
Second Line	:
City	:	TOMS RIVER
State	:	NJ
Zip	:	08755-1980
Country	:	US
Telephone Number	:	201-407-6156
Fax Number	:	973-756-4078

Provider Business Practice Location Address
First Line	:	1999 ROUTE 88
Second Line	:
City	:	BRICK
State	:	NJ
Zip	:	08724-3152
Country	:	US
Telephone Number	:	732-903-2222
Fax Number	:	732-903-2111

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/28/2006
Last Update Date	:	02/01/2021

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